HomeMy WebLinkAbout3216 COLORADO PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
1ob Address: 3216 COLORADO PL
Suite No
Vicinity: WATER HEATER
Parcel Nunmber: 13908605
Applicant: GLOVER, LORIE
Address: 2737 S CRODDY STE D
SANTA ANA, CA
owner: RICHARDS, TIMOTHY H
Address 3216 COLORADO PL
COSTA MESA, CA
PLUMBING PERMIT
Phone: (714) 241-1474. .
� Zip:. 92704 . - .
Phone:
Zip: . 92626
Contractor: COAST ROOTER PLUMING HEATING & AIR CONDITIONING
Address: 2737 S CRODDY STE D-, � - � -
Status: ISSUED
Applied: 07/19/2001
Issued: 07/79/2001
ISSUED BY:
' Phone: (714) 241-1414 - - - . '
SANTA ANA. CA Zip: 92704 \
License:- 529727
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. � License' � �- ' -
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, SCOPE OF PERMIT ' =�-
� ` WATER HEATER CHANGEOUT
. .. � . ..-:t �' � -,
• AMT �� QTY _
ISSUE FEE- � � $23 50 ���'��
Backflow irrigation\ � $0 00 0 \ �
BackflowPreventer�A :�$0.00� 0���
Bathtub ����� �$000 /,�0; �
Clarifier System �� _ SO 00' � 0� ��
Connect (Ice,Soda,etc) �� `$0.00' .� � .Or f , ,
Dental Units �$0;00, �0
Dishwasher $0.00: � -�0 � �,�'
Drain, Floor $0.00 �`�'0 �
Drain, Rainwater $0.00 �'�-0 ��, �
Drain, Roof $0.00 0�
Drinking Fountain $0.00 0
Expansion Tank $0.00 0
Gas Earthquake Valve $0.00 0
Gas (1-a outlets) 50.00 0
Gas (Over 4 outlets) $0.00 0
Gas Repipe $0.00 0
Gas Service $0.00 0
Interceptors (Grease, Oil) $0.00 0
Interceptors (Sand Auto ) $0.00 0
��"' FEE SUMMARY'i+-.�:.-
� `G � �' _
- AMT '�QTY�� �
`'�� Laundry Tub�/ Washer ' � $0 00 � 0` '� ' '��
�Landscapelrn9atiop ��J�$000�.:0 � �
�-PTrap �,l ."- o„ $0�00 , �0 � ��
�;P.r`essure Regulatoc�, i, �� . $0 00 � ,0�
�-P.rocess'Pi in -� �� �-'�
p g (per 10 ft): $0�00 ��0 �
.�ReceptoPs � ---$000 �0 �\
Septic Tank � $0 00 -. 0`�
- Sewer Cap for Demo ; � ; $0.00, _� 0. �� �
� Sewer Connect � � $0.00 , : A ; �
Sewer Private Line � , ' $0.00-- �o ,. ; j
. �Shower � �� 50A0_...--0,!i�-,--�
� -Sink, bar ,_?„ -�, $0.00"'-0 -
Sink,commercial�����"�.=_-$0.00 0
Sink, Floor $0.00 0
Sink, kitchen $0.00 0
Sink, service/mop $0.00 0
Spa (private) $0.00 0
Spa (public) $0.00 0
COMMENTS I SPECIAL CONDITIONS
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�Surtip Pump � ` %� '; $0.00
;SwiinmingPool ����' $0.00
�Trep-Primer'�� /�� � $0.00
Urinal �V <i ,',� / $0.00
Nacuum Brkr Bkflow(1-4) $0.00
Vacuum Brk� Bkflow(5+) $0.00
Wash Basin � � $0.00
Wasli Basin Set $0.00
Waste�and Vent System $0.00
Water Closet (Toileq $0.00
WaterHeater/vent $12.30
Water Piping (Inst or Rep.) $0.00
Water Re-pipe $0.00
Water Service $0.00
Water Softener $0.00
OTHER $0.00
VIOLATION $0.00
PLAN CHECK $0.00
REINSPECTION $0.00
TOTAL CALCULATED FEES: 535.80
QTY
0
0
0
0
0
0
0
0
0
0
i
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall-automatically ezpire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
2466-66 (W00)
WORKERS' COMPENSATION DECLARATION: � �`
I hereby aHirm untler penalry of perjury one of t�e followinq declaretions:
❑ I heve end will maimein a cenificate of consent to selFlnsure br workers' compensation, as providad for by section 3700 of the Lebor Code, for the pedormance of the
��work tor which thi5 permit is issuetl.
I have anC will maintain workers' compensation insurance, as requiretl by sectlon 3700 oF Ihe Labor Code, for tha perfortnance oi Ihe work tor which this pertnit is issuetl.
��My workers' pen�sa1t-ion I rance c rner entl policy number ere: /� /
Certier.j �"�c � PolicyiJumbec �/l0� b�.3n^� I
(This secNon neetl na be completed i! the permit is valued et one hundred dollers ($100) or IessJ
.❑ I certily ihat in the padortnance of Ihe work for which �his Oertnit is issuetl, I shell not employ any person in eny manner so as to become subject to the workers'
compensation laws of Californie, end egree ihat It I shoultl become sub�ect ro the workers' compensation provisions o1 Sectlon 3700 of the Labor Gode, I shall forihwith
comply,wiU.�hese provisions. -
r-T /O
Applicant SignaNre:,, �- J ��" -`Date:. � �T� q I (
WARNING: FAILURE TO 5 URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AN� SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMhGES AS PROVIDED FOR IN SECTION 31O60F THE IABOR CODE, IIJrEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereDy eHirm IheDl en
force and eHect Lic. NK
Conireaor's Slgneture:
of Chepter 9(commencing with SSction 7000) of Division'3 of the Bu`siness and Pmfessions Code, entl my license is in tull
i LCless'A
LDat� �
CONSTRUCTION LENDING AGENCY:
❑ I hereby ettirtn that there is e constmction lending agency for the pedormance of the work tor which ihis pertnit is issuetl. (Sec. 3097, Civil Code).
Lendefs Name: Lender's Address:
Signeture: Date:
I here6y ettirtn thet untler penalty of perjury ihat I am EXEMPT FROM TME CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Cotle: Any ciry or counry which requires e permit to cronstruct, alter, improve, tlemolish, or repeir any siructure, prior to its issuance, elso requires ihe applicant for such permit
to file e signed statement thet he or she Is Ilcensed pureuent ta the pmvisions of the Contradors �icense Lew (Chaptar 9(commencing with Section 7000) of Dlvision 3 of the
Business and Professions Code) or thet he or she is azempt therefram and the basis tor the alle9etl eaemption. Any violatian of Section 7031.5 by eny epplicant for a pertnit
subjects the applicant to e civil penalry of nat more than five hundred dollars ($500).):
❑ I, as owner oi Ihe property, or my employees with wages es ihair sole compensation, WILL DO THE WORK, antl the structure is not intentleG or oHered for sale (Sec.
7044, eusiness antl Professions Code: 7he Conirectors License Law does not apply to an owner ot property who builds or impmves thereon, and who does such work
himself or hersetl or Ihrough his or her own employees, provided ihat such impmvements are not intended or oHared for sale. tl, however, the builtling or improvement is
soltl wiihin one year of completion, ihe owner-builder will have iha burden of proving thal ha or she did not build or improve for purpose of sale.).
❑ I, as owner of tha property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Cotle: The contractors Llcense Lew doas not apply to en owner oi property who builds or improves thereon, and who coniracts for such project with a coniraaor(s)
license pursuant b the Coniradors License Laws.).
❑ I am axerript under sec. � Business and Prolessions Code for this reason:
Signawre: Date:
Owner ID verified by tlrivef5liCense. ❑ Ves ❑ No Orivefs LiCense No. Expires:
Venfication ol Ownership by (type ot document, i.e. - properry tex bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cenify ihat no excavation five (5) or more teet in depth into which e person is required to descend, will be matle In connection with work euthodzed by this
pertnit, and that no building s�rudure, scaHolding, talsework, or demolition or tlismantling thereof, will 6e more Ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec.
341, Title B, Calitarnia Adminisiretive Cotle).
❑ As owner-huilder, I will not employ enyone to do work which would require a permit irom ihe Division ol Intlustrial Safety, as notetl a6ove, unless such person has e
permit to da such work fram the division.
Signature: Date:
Division of Indusinal Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cehity under penalty ot perjury that I have reatl Ihis application and 5tate Ihat Ihe information given is
correct. I agree to comply wi�h all state laws end city ortlinances rela�ing to building conslmciion, and au�honze representatives of ihe City of Costa Mesa to en�er upon Ihe
above-descnbed properry tor inspec�ion puryoses. I agree not to occupy or allow occupancy of any building authorized by Ihis permit until tinal inspection.
" naWre Of Legel Owner(s) at O
- i�T --->,..as.- �
� Or.Authonzed Applicam (� , Da e�
COQEI. MSPELTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202
203
204
Final Factory Fira Place
Final Sign
Final Demolition
PASE INTRIALS
CODE� INSVECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final EleCtncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
P,L IMRIALS
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,�_` � ._42233
COSTA MESA BUILDING-SAFETY DEPARTMENT
! I —2-7FP��`;:00 39�'� '`5.50
i i :r � :�. :,
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �
PP IC ION FOR STRUCTURAL PERMIT
For Appticant to Fill in Completely — Use Ink Only
F I Y D E REC E DATE ISSU
BUILDING /1 /1/ � Z �
ADOFESS LJ /•� � � �O
n P Iz
OWNER ' � f, oh�lano /'• A•P. NO. I �^ �L
MAIL an / AD'ORESS �I� L.Q�,,,�n L
ADDRESS �lr� �f0 �� /�
TEL. TRACT LOT�'j BLOCK
CITV C � G�(L NO. ��—��b�
CANSiRUCT10N d,� W A A T F P
IENDEFi /YO!'1 C�
BRANCH ��� �
OWNE („ OI
ADDRESS � � '
VALUE �
ARCHITECT TEL. SE S
OR ENGINEER NO.
FIRE
ADDFiESS ' ZONE TYPE GROUP
APPROV E � i� �
CONTRACTOR BV DATE L
ADDRESS
TEL. Z�NE NO.OF � USE OF NE
CITV NO.
PLANS BUILDING ��� _
STATE CITV �'ARDSAPPROVED VAR�SAPPROVED
LIC. NO. .� LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE � NO.OFBLDGS. (FROM /LSTREET
OFIOT �DX�IOO NOWONLOT � FRONT FT.
USE OF ` � //�� �
EXISTINGBLDG. ReS(pCYlC2. I F ✓ FT.
Separate permits are required for L. SIDE Fr.
electric, plumbing and heating work. . %�' �J �
REAR ' ✓(/FT. FT.
USE OF BUILDING AND WOPK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLOGS.
VAR. # DATE
f�Q��O � E.OYGrir1 c.u.P.# APPROVED
APPROVED G� ���
I hereby acknowletlBe that I have read this application and state '^
n
thet the above information is cortect and agree to comply with m
all laws re8ulatln8 builtline conrtruction, antl I shall not amploy
i
any oerson in vlolation of the workman's compensation Iaws of d
the State ot Celifornla. -
I hereby certify that I am properly licensetl as a conttector untler SQ. FT. a
the Sta<e of California eusiness entl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Ghapter 9, antl that suc� Iicensas ara in full forca antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT fEE ON�Y:
am exempt from the provisions of tha State of California Business y
antl Professions Cotla, Division 3, Chapter 9. VALUATION PERMIT FEE $, � �
ro
.J PLAN CHECK $ m
SlBnature f 7/ �
Permlttee $ � TAX $ � �
U
Authorized AOent TOTAL PAID $
Lot 89 - Tract 3625
-' c' 1�.?f��
COSi#� MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COSTA MEBA. CALIPORNIA
For Applieant +o Fill In Complefely
TYPE OR PRINT
BUILDINC. _ _ _ . _ _ . _.
COSTA MESA. CALIFORNIA
MAIL 1555 �Placentia Avenu
ADDRE55"
TEL. M
��n New o t-Beac i ` No.
ARCHITEGT TEL.
1555� �Placentia
uc No. 61195 No: MI 6-3227
6�ZE,,.. GOXSOO INO;.OP,BLDGB. O
...,
�'!�;� i�.�co���
�� .1� S-i 3-(eG
; IN�,NCE DEP'f.
r� � tif COSTA MtSA
APPLICATION FOR' PERMIT '
BUILDING
For Office Use Only
RECEIPT NO. PlBMjT N,O. _,
DATE �H6Uiy�o
IAY 1 6
COSTA MESA. CALIFORNIA
APPROVED
ZONING
ZONE /� I NO. OF — I U6E OF NEW /7 p L
pV ' PlANS )�1'BU�LDINO �
Y�. � i Ci LT r�,s�
�Eo•� `� , A_ G q r,n a � 5
USE OF � YARDS
eXISTING BLOG APPROVED
68TBACK LINB PROM (CENTBR LINC 6T.1
CENTex oP eTftlHT SO t REAR YARD ZO � FRONT
SIDE YARD I LHFT' S� I RIGHT S t R. SIDE
DESCRIPTION OF WORK -
SZEDING 1SHSSL ROOMS 6 STORIEb 1
EXTERIOR WALL S`tuCC ROOF p� L.k
COVERING COVERINU"
USE OF BUILOING AND WORK TO BE PERFORMED
Attached Garage Plan 3-BR '
1 HEPCBY ACNNOWLED6E THAT 1 HAVE HEAD THIB APPLIGTION
AND BTATE TXAT TX2 ABOVE IS GORRECT AND AGREE TO COM-
PLY WITH ALL CITY OR�INANCE6 ANO BTAT6 LAW6 REOULATINO
6UILD�NO EONBTRUCTION. ,
SIGNATURE OF
PERMITTE
AUTHORIZED AGE 7T l� ��'T�'IfN{ ��i'I..F'VI�
APPROVED
�J
TN8 AMOUNT 6HOWN UNDEH VALUATION IB FOR THE
PURP08E OF EBTABLIBHING A PEftMiT FEE ONLY.
VALUATION /
PERMIT FEE $ �b
$ %L �3� PLAN CHECK S / ` ~
�,�� F�.. !/
TOTAL FEE $ �i" '�
unn[rc gOHIJLANO, Delfin P.� Jr. �A�� 7-2-76
JOBADDRESS q��[� Cnlnradn Place BUILDING PERMIT N0. 42233
SOIL
GAS
WATER
ROUGM PLUMBING
PROP. SWR. LINE Q MOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH MEATING AN� FIR CONOITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND �I POWER �
ROUGH WiRING
TRENCHES FORMS � STEEL REINF
FLOOR SYSTEM -
BOND BEAM � STEEL REINFORCE �
SHEATNING
FRAME AND FLASHING �
LATMING - IN n OUT n
PLASTER, BROWN COFT
STRUCTURqL, FINAL
HEPTING. VENT., REFRIG. ANO A.C., PINAL
PLUMBING. FINAL AN� GFS TEST �
ELECTRIC, FINAL
BUILOING, FINAL
SPEdAL REOUIREMENTS �
l7_11
SUBCONTRACTOR